Scientific Online Resource System

Varna Medical Forum

A case report: axillary nerve block in a patient with Myasthenia Gravis

Dimitar Nikolakov, Maria Georgieva, Kristian Stefanov, Ivana Stefanovska, Rositsa Tanova, Dimitar Monov

Abstract

To date, there is a lack of abundant information about the usage of brachial plexus nerve blocks in patients with Myasthenia Gravis.

The choice of the regional anesthesia technique depends on the region and the surgical technique, the necessity for tourniquet placement to produce a “bloodless” field, the skills of the anesthesia team, and the individual anatomical characteristics and comorbidities of the patient.

Myasthenia Gravis is a chronic, progressive autoimmune disorder characterized by the autoimmune destruction or inactivation of postsynaptic acetylcholine receptors at the neuromuscular junction, leading to a reduced number of receptors, muscle weakness, and easy fatigability of skeletal muscles.


Keywords

regional technique, brachial plexus, axillary block, myasthenia gravis

Full Text


References

Проф. Д-р Силви Георгиев, Теоретико – практическо ръководство по анестезиология и интензивно лечение , София, АРСО, 2015,115.

S. H. Ferreira Peripheral analgesia.Mechanism of the analgesic action of aspirin-like drugs and opiate antagonists. doi: 10.1111/j.1365-2125.1980.tb01806.

Stein a, J. David Clark b, Uhtaek Oh c, Michael R. Vasko d, George L. Wilcox e, Aaron C. Overland e, Todd W. Vanderah f, Robert H. Spencer.Peripheral analgesia. Peripheral mechanisms of pain and analgesia doi.org/10.1016/j.brainresrev.2008.12.017.

Проф. Д-р Иван Смилов, Наръчник по анестезиология и интензивно лечение, София, АРСО, 2007, 331.

M R Salem. Anesthetic management of patients with "a full stomach".Anesth Analg.Feb;49(1):47-55.

Louis Delamarre a, Mohamed Srairi a, Lionel Bouvet b, Jean-Marie Conil a, Olivier Fourcade a, Vincent Minville .Anaesthesiologists’ clinical judgment accuracy regarding preoperative full stomach: Diagnostic study in urgent surgical adult patients.

doi.org/10.1016/j.accpm.2021.100836.

Morgan and Mikhail’s Clinical Anesthesiology, 6th edition 2018,1073

Dr Maarten J Titulaer, MD ,Bethan Lang, PhD Prof Jan JGM Verschuuren, MD. Lambert–Eaton myasthenic syndrome: from clinical characteristics to therapeutic strategies. December, 2011 doi.org/10.1016/S1474-4422(11)70245-9.

A Nagel 1, A G Engel, B Lang, J Newsom-Davis, T Fukuoka. Lambert-Eaton myasthenic syndrome IgG depletes presynaptic membrane active zone particles by antigenic modulation. DOI: 10.1002/ana.410240412.

Peripheral Nerve Blocks & Peri – Operative Pain Relief, Second edition, 2010, 144.

Regional Anesthesia, Fourth edition, 2008, 194.

Piotr Nowakowski 1, Andrzej Bieryło. Ultrasound guided axillary brachial plexus plexus block. Part 1--basic sonoanatomy. DOI: 10.5603/AIT.2015.0052.

Jia-Min Yuan , Xiao-Hu Yang, Shu-Kun Fu, Chao-Qun Yuan, Kai Chen, Jia-Yi Li, Quan Li.

Ultrasound guidance for brachial plexus block decreases the incidence of complete hemi-diaphragmatic paresis or vascular punctures and improves success rate of brachial plexus nerve block compared with peripheral nerve stimulator in adults. Chin Med J (Engl).2012 May;125(10):1811-6.

Matias Garcia-Blanco, DDS, PhD* and Stephanie Scanlan.Accidental Intravascular Local Anesthetic Injection of the Facial Artery.doi: 10.2344/anpr-67-03-03.

Aksu MD a, Murat Özçelik MD a, Damla Kantarcı MD a, Elvan Öçmen MD a, Ayşe S. Kızıl MD a, Semih Küçükgüçlü MD, Kubra Erdogan MD. Evaluation of Brachial Plexus Nerve Variations in Axilla by Ultrasonography. doi.org/10.1016/j.jopan.2023.11.002.




DOI: http://dx.doi.org/10.14748/vmf.v13i1.9784

Refbacks

Font Size


|